Contact vulvovaginitis: Difference between revisions
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==Background== | ==Background== | ||
*Due to exposure of vulvar epithelium and vaginal mucosa to | *Due to exposure of vulvar epithelium and vaginal mucosa to irritant or allergen | ||
*May occur in virgins | *May occur in virgins | ||
===Causes=== | |||
##Chemicals (bubble baths) | |||
##Poor hygiene | |||
##Allergic dermatitis | |||
##Parasitic infestation (pinworms) | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 00:17, 8 March 2014
Background
- Due to exposure of vulvar epithelium and vaginal mucosa to irritant or allergen
- May occur in virgins
Causes
- Chemicals (bubble baths)
- Poor hygiene
- Allergic dermatitis
- Parasitic infestation (pinworms)
Differential Diagnosis
Vulvovaginitis
- Bacterial vaginosis
- Candida vaginitis
- Trichomonas vaginalis
- Contact vulvovaginitis
- Bubble baths and soaps
- Deodorants, powders, and douches
- Clothing
- Atrophic vaginitis due to lack of estrogen (AKA Vulvovaginal atrophy)
- Lichen sclerosus
- Tinea cruris
- Chlamydia/Gonorrhea infection
- Pinworms
- Vaginal foreign body
- Toilet paper
- Other
- Genitourinary syndrome of menopause
- Foreign body
- Allergic reaction
- Normal physiologic discharge
Diagnosis
- Diagnosis of exclusion
- Rule-out infectious cause first
Management
- Consider topical corticosteroids applied BID-TID x2-3d
See Also
Source
Tintinalli